Outcomes of Type-1 Tympanoplasty with and without use of Topical Nasal Steroids;    a Comparative Study

Ayesha Khan; Naeem Riaz; Faisal  Manzoor; Kamran Zamurrad  Malik; Sunarays Akhtar; Shahzad  Hanif

doi:10.51253/pafmj.v74i5.11037

Authors

Ayesha Khan Department of ENT, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Naeem Riaz Department of ENT, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Faisal Manzoor Department of ENT, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Kamran Zamurrad Malik Department of ENT, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Sunarays Akhtar Department of ENT, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Shahzad Hanif Department of ENT, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i5.11037

Keywords:

Chronic suppurative otitis media, Deafness, Steroids, Tympanoplasty

Abstract

Objective: To compare the outcome of Type-1 tympanoplasty procedure in patients given intranasal steroids post-operatively versus those not given intranasal steroids after procedure.

Study Design: Quasi-Experimental study.

Place and Duration of Study: Combined Military Hospital, Rawalpindi. Pakistan from May 2021 to May 2023.

Methodology: A total of 464 patients, 232 of which were given intranasal steroids (Group-A), and 232 who were not given intranasal steroids (Group-B) were made part of this research. Upon inclusion, all pre-operative demographics were documented. Patients in post-operative follow up period were assessed for condition of tympanic membrane and improvement of hearing ability.

Results: In current study, post-operatively, in patients who were given intranasal steroids, graft take-up frequency was 227(97.84%) and residual perforation was 5(2.16%) was better than in patients who were not given intranasal steroids, which came to 224(96.55%) and 8(3.45%), respectively (p=0.399). In terms of post-operative WHO grade of hearing impairment distribution (p<0.001) and post-op hearing status (p=0.005) difference between patients who were given intranasal steroids and those not given intranasal steroids was statistically significant.

Conclusion: Addition of intranasal steroid spray to the treatment regimen following tympanoplasty is provides better outcomes in terms of higher graft take-up frequency and an improvement in hearing from preoperative levels.

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